Non-genital manifestations of chlamydia trachomatis

Abstract

Chlamydial infection is a common sexually transmitted infection with an incidence of approximately 10% in adults under 25 years. Most genital infections are asymptomatic. Systemic complications are rare but may be associated with asymptomatic genital infections. Reiter's syndrome and its forme fruste, sexually acquired reactive arthritis, occur most frequently in HLA B27-positive individuals following a chlamydial urethritis. Perihepatitis complicates 20% of cases of chlamydial salpingitis and may be confused with acute cholecystitis. Ectopic pregnancy can occasionally present with symptoms of mild gastroenteritis.